Active NPI
J. Brian Same, MD
- Legal Medicine
- Buffalo, NY
National Provider Identifier
1043208622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 1516221
- Practice address
- 897 Delaware Ave
Buffalo, NY 14209-2007 - Phone
- (716) 883-6800
- Fax
- (716) 883-6853
- NPI assigned
- Oct 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 1516221 | NY | Primary |
Addresses
Primary practice location
897 Delaware Ave
Buffalo, NY 14209-2007
Mailing address
897 Delaware Ave
Buffalo, NY 14209-2007
Phone (716) 883-6800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010155901 | Other | NY | UNIVERA |
| 1002486 | Other | NY | INDEPENDENT HEALTH |
| 0046122 | Other | NY | GHI |
| 000502673001 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 01049063 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1516221 | NY | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1043208622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092007",
"telephone_number": "716-883-6800",
"fax_number": "716-883-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "897 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092007",
"telephone_number": "716-883-6800",
"fax_number": "716-883-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAME",
"first_name": "J. BRIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-08",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "1516221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010155901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1002486",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0046122",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000502673001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01049063",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.